Residence Life
First Name:
Last Name:
Student ID:
Birth Date: [None]
Gender:
Cell Phone:
Hendrix PO Box:
Hendrix Email Address:
Current Residence: (Select) Abroad Brown House Browne House Cook House Clifton Couch Dickinson House Eco House Front Street Galloway Hardin Hendrix Corner Huntington Language House Market Square East Market Square North Market Square South Martin McCreight House Off Campus Raney Smith House Veasey Miller Creative Quad
Semesters lived in Hendrix Housing:
Do you plan to study abroad next year? (Select) I do not plan to study abroad next year. I might study abroad next year. I plan to study abroad in Fall 2020. I plan to study abroad in Spring 2021.
Do you plan to student teach or participate in an internship next year? (Select) I do not plan to participate in an internship next year. I might participate in an internship next year. I plan to participate in an internship during Fall 2020 I plan to participate in an internship during Spring 2021
Do you plan to participate in any intercollegiate sports next year? (Select) Yes No
If yes, which sport(s)?
List your last three jobs below, including summer and part-time work:
Please list your anticipated activities and employment for the 2021-2022 school year, along with anticipated time commitment:
I authorize staff in the Office of Student Affairs to conduct a routine inquiry (including verification of GPA and judicial standing) during the process of my application in order to provide the information necessary to determine my eligibility. If I fail to meet these requirements, I understand that I will not be able to proceed with an interview. Furthermore, I certify that everything I have reported on this application is true, to the best of my knowledge. Typing my name below serves as my signature.
Signed on this day [None]
E-mail: housing@hendrix.eduPhone: 501.450.1416Fax: 501.450.1455